Volitional nonadherence in pediatric asthma: Parental report of motivating factors
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Volitional nonadherence is thought to be common among patients with chronic health conditions, including pediatric asthma. To date, no data have been published on the extent to which, and reasons why, families purposefully adjust their child’s asthma regimen. This study provides descriptive data for parental report of volitional nonadherence in a sample of 101 children (ages 1–17 years) with asthma. Families tended to decrease rather than increase use of controller medication, but were more likely to increase rather than decrease preventive medication. Motivating factors for increasing medications centered around achieving better symptom control, whereas reasons for decreasing medications involved a perception of less need (ie, asthma was better) and desire to reduce treatment burden. Our results suggest it is important to better understand volitional nonadherence so that behavioral interventions aimed at promoting adherence and health outcome can be more effective.
- Osterberg L, Blaschke T: Adherence to medication. N Engl J Med 2005, 353:487–497. CrossRef
- Fuertes JN, Mislowack A, Bennett J, et al.: The physician-patient working alliance. Patient Educ Couns 2007, 66:29–36. CrossRef
- Horne R: Compliance, adherence, and concordance: implications for asthma treatment. Chest 2006, 130(1 Suppl):65S–72S. CrossRef
- Mudd K, Bollinger ME, Hsu VD, et al.: Pharmacy fill patterns in young urban children with persistent asthma. J Asthma 2006, 43:597–600. CrossRef
- Cochrane MG, Bala MV, Downs KE, et al.: Inhaled corticosteroids for asthma therapy: patient compliance, devices, and inhalation technique. Chest 2000, 117:542–550. CrossRef
- McQuaid EL, Kopel SJ, Klein RB, Fritz GK: Medication adherence in pediatric asthma: reasoning, responsibility, and behavior. J Pediatr Psychol 2003, 28:323–333. CrossRef
- Bauman LJ, Wright E, Leickly FE, et al.: Relationship of adherence to pediatric asthma morbidity among inner-city children. Pediatrics 2002, 110(1 Pt 1):e6. CrossRef
- Pascual RM, Peters SP: Airway remodeling contributes to the progressive loss of lung function in asthma: an overview. J Allergy Clin Immunol 2005, 116:477–486. CrossRef
- Bauman LJ: A patient-centered approach to adherence: risks for nonadherence. In: Promoting Adherence to Medical Treatment in Chronic Childhood Illness: Concepts, Methods, and Interventions. Edited by Drotar D. Mahwah, NJ: Lawrence Erlbaum Associates, 2000:71–93.
- Adams CD, Dreyer ML, Dinakar C, Portnoy JM: Pediatric asthma: a look at adherence from the patient and family perspective. Curr Allergy Asthma Rep 2004, 4:425–432. CrossRef
- Hindi-Alexander MC, Throm J: Compliance or noncompliance: That is the question. Am J Health Promot 1987, 1:5–11.
- Kelloway JS, Wyatt RA, Adlis SA: Comparison of patients’ compliance with prescribed oral and inhaled asthma medications. Arch Intern Med 1994, 154:1349–1352. CrossRef
- Greaves CJ, Hyland ME, Halpin DM, et al.: Patterns of corticosteroid medication use: nonadherence can be effective in milder asthma. Prim Care Respir J 2005, 14:99–105. CrossRef
- Goldman DP, Joyce GF, Escarce JJ, et al.: Pharmacy benefits and the use of drugs by the chronically ill. JAMA 2004, 291:2344–2350. CrossRef
- Buston KM, Wood SF: Noncompliance amongst adolescents with asthma: listening to what they tell us about self-management. Fam Pract 2000, 17:134–138. CrossRef
- Rand C, Bilderback A, Schiller K, et al.: Adherence with montelukast or fluticasone in a long-term clinical trial: results from the mild asthma montelukast versus inhaled corticosteroid trial. J Allergy Clin Immunol 2007, 119:916–923. CrossRef
- Drazen J, Boccuzzi S, Wogen J, et al.: Adherence to prescribed treatment for asthma [abstract]. Am J Respir Crit Care Med 2000, 161:A402.
- Bender B, Bender SE: Patient-identified barriers to asthma treatment adherence: responses to interviews, focus groups, and questionnaires. Immunol Allergy Clin North Am 2005, 25:107–130. CrossRef
- Conn KM, Halterman JS, Fisher SG, et al.: Parental beliefs about medications and medication adherence among urban children with asthma. Ambul Pediatr 2005, 5:306–310. CrossRef
- Bursch B, Schwankovsky L, Gilbert J, Zeiger R: Construction and validation of four childhood asthma self-management scales: parent barriers, child and parent self-efficacy, and parent belief in treatment efficacy. J Asthma 1999, 36:115–128. CrossRef
- Smith NA, Ley P, Seale JP, Shaw J: Health beliefs, satisfaction and compliance. Patient Educ Couns 1987, 10:279–286. CrossRef
- Butz AM, Tsoukleris M, Donithan M, et al.: Patterns of inhaled antiinflammatory medication use in young underserved children with asthma. Pediatrics 2006, 118:2504–2513. CrossRef
- Deaton AV: Adaptive noncompliance in pediatric asthma: the parent as expert. J Pediatr Psychol 1985, 10:1–14. CrossRef
- Volitional nonadherence in pediatric asthma: Parental report of motivating factors
Current Allergy and Asthma Reports
Volume 7, Issue 6 , pp 427-432
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